| NPI | 1720086168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60614080) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 200101504) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2021-01-06 |