| NPI | 1891712253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301068493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301068493) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 229000) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-03-16 |