| NPI | 1023100914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 15736) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 19472) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-10-31 |