| NPI | 1639195357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ND 15775) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A7412) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AK 188300) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-10-02 |