| NPI | 1306027909 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2010026420) | 
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MO 2010026420) | 
| Enumeration Date | 2007-11-25 | 
| Last Update Date | 2024-03-29 |