| NPI | 1629475066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY TP167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113943) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 40639-020) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301113943) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-05-08 |