| NPI | 1942205851 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-16898) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0416898) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-03-11 |