| NPI | 1447478029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 03160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 03160) |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2025-10-29 |