| NPI | 1255393468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX F6180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX C23861) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2009-11-12 |