| NPI | 1174522874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX G6298) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G6298) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2022-07-21 |