| NPI | 1134580863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 02005894A) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX R1977) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2025-07-08 |