| NPI | 1063600336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 49143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 42959) |
| 207R00000X Internal Medicine (Licence: CO 49143) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2025-10-29 |