| NPI | 1215191457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 42489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092269) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-10-11 |