| NPI | 1073959219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101259912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259912) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-06-28 |