| NPI | 1619350451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DE C1-0026458) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 29504) |
| 207R00000X Internal Medicine (Licence: PA MT209124) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-10-23 |