| NPI | 1336403914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 51147) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01086505A) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2021-12-28 |