| NPI | 1801109038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A122140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A122140) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2025-10-15 |