| NPI | 1184070815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 20825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P32555) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4351044438) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2023-04-04 |