| NPI | 1205898913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MO R3N20) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: KS 04-21616) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |