| NPI | 1245439033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MA 245958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT NONE) |
| 207RR0500X Internal Medicine Rheumatology (Licence: CT 047080) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-10-20 |