| NPI | 1154760601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: KY 03937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03937) |
| 207R00000X Internal Medicine (Licence: SC LL35700) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2022-01-12 |