| NPI | 1255486221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD11903) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0043663) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-24 |