| NPI | 1275940041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 70200) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD461938) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2024-05-01 |