| NPI | 1730144114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 18258) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 60553) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2026-02-02 |