| NPI | 1699748459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 82982) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA 05012300) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2025-01-06 |