| NPI | 1831446020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX T6052) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: VA 0101261805) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-12-12 |