| NPI | 1912307265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME137093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054552) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2026-01-02 |