| NPI | 1295728590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX G7498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G7498) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-11-11 |