| NPI | 1073825444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2010017399) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 11017350A) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2013-06-26 |