| NPI | 1497174015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2021015429) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD047401) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-10-01 |