| NPI | 1881183143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MO 2023009742) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WI 75117-20) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-08-25 |