| NPI | 1508315789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 20655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 20655) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2017-12-08 |