| NPI | 1396107009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2022-01408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312404) |
| 207R00000X Internal Medicine (Licence: NC 2022-01408) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-09-12 |