| NPI | 1568824290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0071848) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD.61140912) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-11-08 |