| NPI | 1962835074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WV 29101) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 29101) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-07-29 |