| NPI | 1174568489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60063017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60063017) |
| 207R00000X Internal Medicine (Licence: CA A92894) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A92894) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-02-12 |