| NPI | 1972588309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ME MD21645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 35999) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NC 35999) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2019-01-28 |