| NPI | 1760599971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 292830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042579) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CT 042579) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-08-18 |