| NPI | 1710164736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A102518) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 38860) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2021-11-09 |