| NPI | 1598739823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 36657) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 22552) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: GA 92445) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-02-29 |