| NPI | 1477559243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101279754) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD027056E) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2025-08-21 |