| NPI | 1457513590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2015-00865) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME115885) |
| 207R00000X Internal Medicine (Licence: FL TRN12517) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-07-08 |