| NPI | 1104825249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0061150) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD31590) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2026-02-17 |