| NPI | 1952927303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 73514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP05096) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-10-10 |