| NPI | 1316964836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 101752) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 53356) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2002008192) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-04-02 |