| NPI | 1255714929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A162856) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME143271) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-03-27 |