| NPI | 1811126477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD 60226664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML 60092943) |
| 207R00000X Internal Medicine (Licence: WA MD 60226664) | |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2023-03-06 |