| NPI | 1255776860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 02008907A) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 270829) |
| 207R00000X Internal Medicine (Licence: IN 02008907A) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2026-06-02 |