| NPI | 1063035798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2021047370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021047370) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-09-01 |