| NPI | 1871881284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AR E9635) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: SD 11526) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-09-21 |