| NPI | 1427106624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101238458) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 23433) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2023-10-31 |