| NPI | 1275706194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PR 18373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18373) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2014-07-10 |