| NPI | 1437383932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ API0049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9122081-4405) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2024-03-20 |