| NPI | 1396730552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 16622) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 26804) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2018-06-07 |