| NPI | 1780754671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID MC-2267) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00020548) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2026-07-01 |