| NPI | 1578824959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 19211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054023) |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2018-09-07 |