| NPI | 1407815962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MO 2004021584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004021584) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-11-30 |