| NPI | 1215376132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R6428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063435) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-10-26 |