| NPI | 1629462965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 66411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01092783A) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01092783A) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-03-14 |