| NPI | 1508837766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R4993) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS005321L) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2022-12-28 |