| NPI | 1538178686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD049288L) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 30450) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WV 28637) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-07-05 |