| NPI | 1770716193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA MD-46528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 47259) |
| 207R00000X Internal Medicine (Licence: IA MD-46528) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KY 47259) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2019-11-01 |