| NPI | 1861584641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NE 376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 376) |
| 207RR0500X Internal Medicine Rheumatology (Licence: MT MED-PHYS-LIC-112892) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-02-19 |