| NPI | 1407084809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AL 46795) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WA MD60591579) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-02-01 |