| NPI | 1518117795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 20390) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A115840) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2020-12-07 |