| NPI | 1215098678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD27165) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 19664) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WI 47673-020) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA C52606) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |