| NPI | 1376822817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042.0014165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41800) |
| 207R00000X Internal Medicine (Licence: IL 125060180) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2018-09-10 |