| NPI | 1720036353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 37661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47321) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-05-13 |