| NPI | 1558353821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 5891032-1205) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ID 3571655) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2025-07-24 |