| NPI | 1376762823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MT 11329) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-11329) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-12-20 |