| NPI | 1235375361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301099880) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 232426) |
| 207R00000X Internal Medicine (Licence: MA 232426) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: NH 14999) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2012-08-08 |