| NPI | 1316177108 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P8673)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034684)  | 
| Enumeration Date | 2009-07-15 | 
| Last Update Date | 2025-05-01 |