| NPI | 1558574087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: UT 5814204-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5814204-1205) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-01-05 |