| NPI | 1831114008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA A90242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90242) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-11-27 |