| NPI | 1740254200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD171663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 22745) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-08-10 |