| NPI | 1124220116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AZ 41707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 78212) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2017-04-14 |