| NPI | 1760708507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR0052182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N4982) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2026-07-01 |