| NPI | 1598977704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 27893) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AR E-17404) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2026-07-29 |