| NPI | 1689161838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 79959) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MN 79959) |
| 207R00000X Internal Medicine (Licence: MN 79959) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IA R-12024) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-09-02 |