| NPI | 1295784098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 72328) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 72328) |
| 2085B0100X Radiology, Body Imaging (Licence: MA 72328) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-10-16 |