| NPI | 1083064257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 73649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021034072) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2021034072) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-08-30 |