| NPI | 1548333685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 130497) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PR 6003) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-03-08 |