| NPI | 1861484784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R3D27) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO MDR3D27) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2018-04-04 |