| NPI | 1982180733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 73960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275980) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2024-03-29 |