| NPI | 1538443791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX Q1069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012014533) |
| 207R00000X Internal Medicine (Licence: IN 01070269A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2012014533) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2020-09-03 |