| NPI | 1407245848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2020-03143) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: AR E-10543) |
| 207RR0500X Internal Medicine Rheumatology (Licence: IA 48336) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MN 74285) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-06-26 |