| NPI | 1649856501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2024-03598) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 14285704-1235) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-06-02 |