| NPI | 1346879897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 105513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 7961) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2026-01-13 |