| NPI | 1083814057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX S4806) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME 104595) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0071211) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101249525) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-04-13 |