| NPI | 1669406799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: ID O-0777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS-013257) |
| 207R00000X Internal Medicine (Licence: MO 2010015957) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: PA OS013257) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-06-07 |