| NPI | 1992231591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-00394) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NC 2020-00394) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-07-15 |