| NPI | 1710171194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 30042) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 30042) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-07-21 |