| NPI | 1194780817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A50645) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A50645) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-09 |