| NPI | 1295832004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 033199) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 71995) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD21033) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-11-12 |