| NPI | 1861998007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX U9570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 29168) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 65873) | |
| 207R00000X Internal Medicine (Licence: MN 65873) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-07-31 |