| NPI | 1740267533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 48955) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX N6757) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD13689R) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: LA 13689R) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-07-08 |