| NPI | 1114154036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 286627) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: HI MD-16078) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-07-03 |