| NPI | 1407144660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX S4662) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301104739) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-11-02 |