| NPI | 1396903092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D82117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192130) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 255953) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2016-12-14 |