| NPI | 1508181579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME154368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U8291) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX U8291) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2024-03-21 |