| NPI | 1710183066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 33760) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101273598) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A87107) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-12-03 |