| NPI | 1003907601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 126262) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A74929) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-01-26 |