| NPI | 1285629980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME46253) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 0046253) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2019-10-24 |