| NPI | 1700887031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 66754) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 23599) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 33602) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-05-10 |