| NPI | 1750684262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 66110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100564) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301100564) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.121710) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301100564) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2022-07-18 |