| NPI | 1134415110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 33916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33916) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-04-04 |