| NPI | 1669967527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2023002174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018019732) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2024-01-10 |