| NPI | 1598954224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME98451) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL ME98451) |
| 207R00000X Internal Medicine (Licence: FL ME98451) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2017-02-02 |