| NPI | 1568564631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 50296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36826) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IA 36826) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-06-18 |