| NPI | 1205858651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101277003) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: AR T2014-141) |
| 207RR0500X Internal Medicine Rheumatology (Licence: LA 11280R) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-01-04 |