| NPI | 1205065109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MO 2013029393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009016613) |
| 208000000X Pediatrics (Licence: MO 2009016613) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO 2009016613) | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2015-10-01 |