| 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: MI 4301112495) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-06-07 |