| NPI | 1013363167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 283192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283192) |
| 208000000X Pediatrics (Licence: MA 283192) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-07-05 |