| NPI | 1144563602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A146832) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-41088) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2026-04-11 |