| NPI | 1831333608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 258017) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 16560) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2020-03-04 |