| NPI | 1356978415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1027725) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 1027725) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-06-25 |