| NPI | 1164719100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R1124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10040355) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-11-01 |