| NPI | 1255396594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G47295) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA G47295) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA G47295) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-09 |