| NPI | 1730756404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 94-11926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12139) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-07-01 |