| NPI | 1114216926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CO DR.0053355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0053355) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-06-08 |