| NPI | 1174907984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 43560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264321) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-06-30 |