| NPI | 1407116411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A16850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019682) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-03-29 |