| NPI | 1861780090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 282091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196104) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD20142) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2020-06-01 |