| NPI | 1598025884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 85451) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 138633) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-08-06 |