| NPI | 1619219706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 2017-02114) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2017-02114) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-07-14 |