| NPI | 1639114358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 41913) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD157500) |
| 208000000X Pediatrics (Licence: MN 41913) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-03-13 |