| NPI | 1265434716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 11851) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD070237L) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2018-06-28 |