| NPI | 1952721144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 95050) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME139478) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: GA 95050) | |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2024-10-14 |