| NPI | 1578141347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME179144) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 3015878) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-07-20 |