| NPI | 1215145636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME114449) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 45872) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-06-11 |