| NPI | 1992785729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX R2086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101048369) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101048369) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-08-10 |