| NPI | 1780735571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M-17331) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ME MD24156) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: ME EL201705) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 58987) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35.138856) | |
| 174400000X Specialist (Licence: AZ 20026) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-07-08 |