| NPI | 1205925401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME51850) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 051850) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-08-07 |