| NPI | 1760794259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101258527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196471) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD449575) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2024-05-07 |