| NPI | 1063674265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA a113310) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60405775) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2020-02-24 |