| NPI | 1316234693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 51325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51325) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-02-11 |