| NPI | 1255780722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: PA MT224921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467073) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-01-10 |