| NPI | 1285167023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC MD88665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10955488-1205) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: SC MD048499) | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2023-01-10 |