| NPI | 1659341667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 09569) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 9569) |
| 207R00000X Internal Medicine (Licence: AZ 9569) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-10-06 |