| NPI | 1689931255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301109200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109200) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-04-29 |