| NPI | 1922028034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 062253) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 38156) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-01-23 |