| NPI | 1366550337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 83454) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 037428) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-05-07 |