| NPI | 1376631622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 03745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL920) |
| 207R00000X Internal Medicine (Licence: SC 920) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: SC 920) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-12-02 |