| NPI | 1659427334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX N9084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46741) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-10-28 |