| NPI | 1255607214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A126504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 126504) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2024-04-29 |