| NPI | 1982225397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX BP20086260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10071309) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-06-27 |