| NPI | 1386755544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00046506) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD28769) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-01-19 |