| NPI | 1356461024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN MD00000053351) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 103859) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 51059) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-03-21 |