| NPI | 1962759191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 63338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT202063) |
| 207R00000X Internal Medicine (Licence: TN 63338) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 61860) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2022-03-23 |