| NPI | 1194733741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IA 20875) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: IA 20875) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-12-13 |