| NPI | 1982649257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 21326) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 30405) |
| 207R00000X Internal Medicine (Licence: KY 30405) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-02-06 |