| NPI | 1467651711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 70547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL29799) |
| 207R00000X Internal Medicine (Licence: FL ME 106894) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: SC TL34875) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-09-13 |