| NPI | 1770590556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60723743) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 8355381-1205) |
| 207R00000X Internal Medicine (Licence: UT 8355381-1205) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-03-16 |