| NPI | 1114993961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 48087) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 42668) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-07-03 |