NPI | 1760945687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 77242) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T6223) |
208M00000X Hospitalist (Licence: TX T6223) | |
Enumeration Date | 2019-04-08 |
Last Update Date | 2025-08-29 |