| NPI | 1174050595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 291274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271951) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 271951) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-07-21 |