| NPI | 1598928202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2013-01881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 150029) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-01-11 |