| NPI | 1497174494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 88952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R3528) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-10-22 |