| NPI | 1871848259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 55093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044201) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KY TP931) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2023-04-25 |