| NPI | 1396924106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX N5528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N5528) |
| 207R00000X Internal Medicine (Licence: KY 44993) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2017-10-13 |