| NPI | 1538373535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PR 7091) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PR 7091) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-27 |