| NPI | 1932348729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: PA OS014800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 0T011477) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2020-08-05 |