| NPI | 1407499544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME44380) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME44380) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2026-05-20 |