| NPI | 1487852349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY TP821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014098) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WY 10351A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS014098) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-06-14 |