| NPI | 1275519449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX J4615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J4615) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-09-10 |