| NPI | 1962994608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AR E-17005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10064590) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX BP20077394) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-08-23 |