| NPI | 1205896115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 22976) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD22976) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-10-04 |