| NPI | 1497332092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 13872433-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 298095) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-04-09 |