| NPI | 1073560330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI MD10564) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 3926) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2013-09-19 |