| NPI | 1932589660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-01060) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2020-01060) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-12-18 |