| NPI | 1669636114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 52284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031158) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 60113-20) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2020-09-08 |