| NPI | 1235584335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2021-02068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 219244) |
| 207RR0500X Internal Medicine Rheumatology (Licence: GA 10768) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-08-23 |