| NPI | 1588634117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 37830) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 37830) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-08-19 |