| NPI | 1720519093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SD 13294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME144302) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME144302) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-03-16 |