| NPI | 1902911878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID O-1470) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 043709) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-02-15 |