| NPI | 1710328398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM RS2020-0519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 301934) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-06-25 |