| NPI | 1699069898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101263148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199570) |
| 208M00000X Hospitalist (Licence: DC MD043208) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-03-10 |