| NPI | 1609074723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 48598) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 048598) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A98940) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-02-04 |