| NPI | 1104891290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C54037) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 9639) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-03-28 |