| NPI | 1063636306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 52391) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301095652) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-03-06 |