| NPI | 1679650386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A066667) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: CA A066667) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |