| NPI | 1831316967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 50113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001906) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-06-08 |