| NPI | 1740714062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS021964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017580) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2022-07-22 |