| NPI | 1023034923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0422210) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO MD R9J82) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-12-15 |