| NPI | 1275732943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0068968) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0068968) | 
| Enumeration Date | 2007-07-13 | 
| Last Update Date | 2024-07-11 |