| NPI | 1396179677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX S6781) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WI 68911) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2023-03-27 |