| NPI | 1780630954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MD D0065147) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: DC MD034510) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-12-29 |