| NPI | 1235242199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C52913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C52913) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 213625) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-07-22 |