| NPI | 1558365122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 49492) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 25554) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2022-07-21 |