| NPI | 1669435996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX L0740) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L0740) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX L0740) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2023-03-30 |