| NPI | 1154306603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AR E-18451) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX J0629) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2025-01-28 |