| NPI | 1326080672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 37761-020) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 37761-020) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-12-11 |