| NPI | 1871598854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN MD0000011291) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 11365) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-05-04 |