| NPI | 1962965020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX T7583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7583) |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2026-01-28 |