| NPI | 1215048657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NE 15771) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 22901) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-29 |