| NPI | 1619460854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MN 73164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072472) |
| 207R00000X Internal Medicine (Licence: IL 036.155463) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: IL 036.155463) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-08-14 |