| NPI | 1164434635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M-11243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD 066388L) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD 066388L) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD066388L) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-03-15 |