| NPI | 1184005506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 272905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263646) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-05-25 |