| NPI | 1457903064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 12789339-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074697) |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2022-04-13 |