| NPI | 1811370802 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO DR.0061869) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 44560) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-06-28 |