| NPI | 1760776512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 57369) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 74744-20) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2023-06-29 |