| NPI | 1023532058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2025-01383) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME163578) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-10-01 |