| NPI | 1912946658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI MD09598) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI MD109667) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-05-27 |