| NPI | 1316391584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0072987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056500) |
| 207R00000X Internal Medicine (Licence: VA 0102205946) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-10-24 |