| NPI | 1588691026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P1433) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 48745) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-01-22 |