| NPI | 1629413398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NH 20427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT015100) |
| 207R00000X Internal Medicine (Licence: NH 20427) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: PA OT015100) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-06-09 |