| NPI | 1316399264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2721) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX U2721) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2023-12-06 |