| NPI | 1225041221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2010037284)  | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-34908)  | 
| Enumeration Date | 2006-08-14 | 
| Last Update Date | 2024-04-10 |