| NPI | 1083607253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00036730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00036730) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD23744) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-01-28 |