| NPI | 1225160674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KS 0430984) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0430984) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-09-11 |