| NPI | 1982042917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101273820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 28450) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2024-11-22 |