| NPI | 1063086486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A195846) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A195846) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-09-01 |