| NPI | 1508958026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS016218) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2006-00259) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MD H0065839) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-08-12 |