| NPI | 1043664899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 44728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068511) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2022-08-26 |