| NPI | 1508150590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA 147880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 147880) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA 147880) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-07-21 |