| NPI | 1063485886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX J7933) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX J7933) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2016-04-01 |