| NPI | 1306932959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0053771) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME139857) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-11-22 |