| NPI | 1306887161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0430009) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2017013306) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-10-11 |