| NPI | 1811984123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A53285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A532285) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2021-11-05 |