| NPI | 1568660389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: KS 04-35874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9406874) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO 2015039924) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-03-15 |