| NPI | 1689807216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2017-01193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443144) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2017-09-07 |