| NPI | 1962693150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P1914) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX BP20038033) |
| 207R00000X Internal Medicine (Licence: TX BP1-0028952) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2023-09-19 |