| NPI | 1235103813 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A83508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83508) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A83508) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-07-28 |