| NPI | 1619995487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD.200425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 200425) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-04-09 |