| NPI | 1154647535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD458069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0095) |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2016-06-07 |