| NPI | 1780813543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C173035) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 271089) |
| 207R00000X Internal Medicine (Licence: CA C173035) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-02-06 |