| NPI | 1457871659 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 74051)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112495)  | 
| 207RR0500X Internal Medicine, Rheumatology (Licence: MT 146128)  | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301112495)  | |
| Enumeration Date | 2017-06-20 | 
| Last Update Date | 2024-10-28 |