| NPI | 1548609779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2016011515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 20160111515) |
| 207R00000X Internal Medicine (Licence: MO 2013019956) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-07-23 |