| NPI | 1154945012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2023005756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023005756) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2026-05-18 |