| NPI | 1245307578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: SC 35120) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NE 22460) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-09-13 |