| NPI | 1649518317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH LT4364) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME137751) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2022-10-26 |