| NPI | 1720075872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 64591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33695) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IA 33695) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2018-09-19 |