| NPI | 1023073376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 201301579) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD023805E) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: GA 058119) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2014-04-15 |