| NPI | 1912024563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 43448) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: KY 43448) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2023-09-20 |