| NPI | 1104016278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD153128) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 56254) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-02-11 |