| NPI | 1912294976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX Q6015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN # 15732) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-01-11 |