| NPI | 1215906920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 13465) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OK 13465) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OK 13465) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-03-16 |