| NPI | 1871025361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2020-03534) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2020-03534) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-10-14 |