| NPI | 1619126711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D70544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247082) |
| 207R00000X Internal Medicine (Licence: DC MD036798) | |
| 207R00000X Internal Medicine (Licence: MD D70544) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD036798) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101247082) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-06-01 |