| NPI | 1306161955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IN 01080781A) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: KY 46036) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2020-08-31 |