| NPI | 1558555896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 53102) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 74742-20) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-05-25 |