| NPI | 1104817725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 5752) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: PR 5752) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |