| NPI | 1467946012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY TP278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-216616) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-08-22 |