| NPI | 1376005199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A185261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073900) |
| 207R00000X Internal Medicine (Licence: IL 036159844) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-05-24 |