| NPI | 1932142361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 17394) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L2330) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-10-06 |