| NPI | 1700198173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2015-00386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198232) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-07-29 |