| NPI | 1992827315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME105214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 72245) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2019-05-09 |