| NPI | 1356967160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 3013621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020016852) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-06-19 |