| NPI | 1598150542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 309142) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME149611) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-12-07 |