| NPI | 1609210004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 274389) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 266134) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-07-23 |