| NPI | 1790758514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TN 40902) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WV 18942) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-06-26 |