| NPI | 1104804863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 016295) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD22682) |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: OR MD22682) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: SC 40533) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2017-03-07 |