| NPI | 1821383134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 248869) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL 133561) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-03-01 |