| NPI | 1598051245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM MD2015-0920) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15757) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2016-02-18 |