| NPI | 1114935418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX K0997) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 11711039-1205) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-05-20 |