| NPI | 1932266897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 118946) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA OP 60474745) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2021-11-10 |