| NPI | 1114304573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0064290) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 5101021529) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2026-04-10 |