| NPI | 1972728178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NH 14932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH RT1753) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2018-12-14 |