| NPI | 1730153131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 47927) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD035927E) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-02-01 |