| NPI | 1255305132 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 98390) | 
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MT 130733) | 
| 207RR0500X Internal Medicine, Rheumatology (Licence: DE C10005967) | |
| Enumeration Date | 2006-02-15 | 
| Last Update Date | 2024-11-14 |