| NPI | 1174605646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD.024079) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: LA 024079) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-01-30 |