| NPI | 1972595494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 015540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 015540) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-02-12 |