| NPI | 1255374252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G387180) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G387180) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-05-30 |