| NPI | 1235206228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME116938) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D19992) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-01-28 |