| NPI | 1194760918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 26035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1461) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-10-19 |