| NPI | 1417975491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA A63606) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A63606) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-04-16 |