| NPI | 1194739227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2006039224) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D59090) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-03-15 |