| NPI | 1891866786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: OR MD126090) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WA MD61067555) |
| 207RR0500X Internal Medicine Rheumatology (Licence: CA G22997) | |
| 207R00000X Internal Medicine (Licence: WA MD61067555) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-06-17 |