| NPI | 1588822936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 15157) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 44562) |
| 207R00000X Internal Medicine (Licence: NY 250282) | |
| 207R00000X Internal Medicine (Licence: VA 0101244164) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2015-03-24 |