| NPI | 1043403371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A96524) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD60024595) |
| 207R00000X Internal Medicine (Licence: CA A96524) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: WA MD60024595) | |
| 207K00000X Allergy & Immunology (Licence: OH 35.097786) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: OH 35.097786) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2012-06-27 |