| NPI | 1295034742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME146779) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 52301) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2023-09-28 |