| NPI | 1780795625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD12275) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD12275) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-12-21 |