| NPI | 1912952326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 119781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 119781) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MO 119781) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-09-12 |