| NPI | 1992789564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID O-0634) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX M9114) |
| 207R00000X Internal Medicine (Licence: TX M9114) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2016-12-09 |