| NPI | 1477604817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MO R1J62) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: KS 04-26764) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2021-03-22 |