| NPI | 1689234650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0116038977) |
| Additional Taxonomies | 2085R0001X (Licence: MI 4351044835) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-08-24 |