| NPI | 1851558100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2015-00099) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: DE C1-0010065) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-10-14 |