| NPI | 1922676824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20822849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021021078) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-06-26 |