| NPI | 1316224579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME157922) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01099583A) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2026-06-22 |