| NPI | 1649481607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MS 19180) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 19180) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-03 |