| NPI | 1487883443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 52033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013009) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2026-01-20 |