| NPI | 1992757405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 39092) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI EMC0007457) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-10-07 |