| NPI | 1255402798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM MD20040222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2004-0222) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-01-18 |