| NPI | 1518300151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA A168762) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD044077) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2021-01-27 |