| NPI | 1689879728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 52805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52805) |
| 207R00000X Internal Medicine (Licence: IA R8134) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: KS 05-36429) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-03-27 |