| NPI | 1942615240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD215272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD215272) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TN 59459) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2023-08-16 |