| NPI | 1902080625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C-150162) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 77204) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2025-03-17 |