| NPI | 1467891564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 080538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL35937) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2022-09-13 |