| NPI | 1336583467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R5621) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD.303245) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2023-01-24 |