| NPI | 1477871648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 67803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 070307) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0101116) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2024-07-24 |