| NPI | 1164863593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MT222181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081157) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2021-07-09 |