| NPI | 1174799092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D77846) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD155471) | 
| 208M00000X Hospitalist (Licence: OR MD155471) | |
| Enumeration Date | 2008-04-30 | 
| Last Update Date | 2025-03-27 |