| NPI | 1720019334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0063871) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 13197) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-04-29 |