| NPI | 1477181337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME172224) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 3013488) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-09-05 |