| NPI | 1891008942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C200684) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 28510) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2026-01-27 |