| NPI | 1487069795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 90424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6800) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD193296) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2021-11-18 |