| NPI | 1427118280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 81129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C183551) |
| 207RR0500X Internal Medicine Rheumatology (Licence: TX L4885) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-08-15 |