| NPI | 1780692871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX V1618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V1618) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: AL 29844) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2024-08-01 |