| NPI | 1043359037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WA MD60145123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2004-0437) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-09-22 |