| NPI | 1972584001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD027521E) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101040911) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-21 |