| NPI | 1740397355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 36685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 36685) |
| 207R00000X Internal Medicine (Licence: IL 036-098039) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-11-23 |