| NPI | 1669633400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101247673) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247673) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2012-02040) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-01-15 |