| NPI | 1083803324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60263386) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 9251) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-02-13 |