| NPI | 1851749378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: GA 93723) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: AZ 58787) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-02-20 |