| NPI | 1205004900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA G28862) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: CA G-28862) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2010-05-01 |