| NPI | 1689093247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 63686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65297) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-07-21 |