| NPI | 1942616404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2019017299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019017299) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2025-09-11 |