| NPI | 1235101486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME78186) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L9863) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL 182441) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-09-03 |