| NPI | 1083034896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A161173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461357) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-08-20 |