| NPI | 1245267061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MT 12652) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MS 14472) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2017-09-27 |