| NPI | 1386955904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA OP60291975) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ID O0917) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-03-25 |