| NPI | 1366962417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 78097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020009355) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2020009355) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-06-21 |