| NPI | 1245297555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 36976) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KS 0428878) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |