| NPI | 1689938037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 281820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 17046) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: RI md16223) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2023-04-24 |