| NPI | 1194753285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD036302E) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD03602E) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-02-04 |