| NPI | 1366441958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX F0422) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F0422) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-01-31 |