| NPI | 1174048029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI MD19362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD19362) |
| 207R00000X Internal Medicine (Licence: MA 271822) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-06-14 |