| NPI | 1568692820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX Q6516) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX Q6516) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-10-19 |