| NPI | 1508399577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL OS16720) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL FL8853637) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-01-30 |