| NPI | 1083684369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 74251) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX G7933) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: GA 65461) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-06-20 |