| NPI | 1679916837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 59769) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 74850-21) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2024-03-28 |