| NPI | 1366798647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R3110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3110) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2018-10-29 |