| NPI | 1982022943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 292906) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 05-48374) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WA OP61495039) | |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-04-16 |