| NPI | 1598700387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 62179-20) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: MN 44131) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-01-02 |