| NPI | 1134200934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 73227) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO R7C75) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-02-15 |