| NPI | 1639468747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 04-48824) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301097668) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2025-04-09 |