| NPI | 1164871927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA 320494) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 5041) |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2024-12-02 |