| NPI | 1023174323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 52139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187664) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MN 104288) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-06-03 |