| NPI | 1609962026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A62403) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A062403) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-01-10 |