| NPI | 1316407570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2024-00361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 331412) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2024-08-09 |