| NPI | 1316177108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P8673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034684) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2024-01-04 |