| NPI | 1457771313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 10238768-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050677) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2019-12-03 |