| NPI | 1598776767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 56131) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME30896) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301093944) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-01-15 |