| NPI | 1801012372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 16590) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS015568) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MD H68266) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-06-28 |