| NPI | 1952694309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA MD-41612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2675) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IA MD-41612) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-07-21 |