| NPI | 1548611841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IA MD50959) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WI 68206) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MD D0090890) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-06-12 |