| NPI | 1245217512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 66500) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME0063232) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-06-30 |