| NPI | 1093109142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101270027) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 275352) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-02-24 |