| NPI | 1649586256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX U1459) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX BP20047803) |
| 207R00000X Internal Medicine (Licence: TX BP10036942) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-04-23 |