| NPI | 1831585710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: RI DO01093) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NH 20769) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-08-26 |