| NPI | 1710277751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX S0861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0861) |
| 207R00000X Internal Medicine (Licence: AZ 006359) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 006359) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2021-09-03 |