| NPI | 1225010184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101277892) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD19517) |
| 207R00000X Internal Medicine (Licence: ME MD19517) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD19517) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-04-20 |