| NPI | 1588820484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 49419) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD442172) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-07-03 |