| NPI | 1639390776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 13580) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.084570) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2019-12-23 |