| NPI | 1679009336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A172204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A17204) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-10-03 |