| NPI | 1508129875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD469785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 27527) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-10-19 |