| NPI | 1811300726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 36982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36982) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-08-07 |