| NPI | 1700067360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD176833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P22253) |
| 207R00000X Internal Medicine (Licence: ND 11584) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD042094) | |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2017-02-22 |