| NPI | 1215999412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO R7284) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-17252) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |