| NPI | 1356371496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101022445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101-022445) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101022445) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2015-12-03 |