| NPI | 1164467494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD429692) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 213783) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-08 |