| NPI | 1518385020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301511991) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.130905) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-09-18 |