| NPI | 1184019267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD227088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A145432) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2025-08-27 |