| NPI | 1669812442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD61059942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9853) |
| 207R00000X Internal Medicine (Licence: IA Md-43279) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-09-10 |