| NPI | 1578562278 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX K7909) | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX K7909) | 
| Enumeration Date | 2005-07-15 | 
| Last Update Date | 2024-01-24 |