| NPI | 1801080890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2017-01816) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NY 255984) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2018-03-17 |