| NPI | 1942664941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ND 16835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A158298) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-07-30 |