| NPI | 1760744478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 67078) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NE 27557) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2021-07-09 |