| NPI | 1114926367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A73744) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A73744) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-01-18 |