| NPI | 1528297256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R2497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-35846) |
| 207R00000X Internal Medicine (Licence: WI 54992-21) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-12-29 |