| NPI | 1730165044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA C54885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54885) |
| 207R00000X Internal Medicine (Licence: VA 0101235252) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101235252) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2021-12-15 |