| NPI | 1548371263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042.0010459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 9775) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NH 9775) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-18 |