| NPI | 1528401015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 12396151-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1304) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-10-24 |