| NPI | 1265657894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2010-00066) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP00831) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-03-17 |