| NPI | 1881807469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX U7242) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 239148) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX U7242) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 239148) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-02-22 |