| NPI | 1124154323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 43112) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 043112) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2022-07-06 |