| NPI | 1376921478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 012627) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NV SL2180) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2026-09-09 |