| NPI | 1821209255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL OS18600) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 57210) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2026-05-15 |