| NPI | 1154954758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 38204) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: MT 128756) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-08-05 |