| NPI | 1679125447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 33041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8530) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2022-08-24 |