| NPI | 1316238298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD449967) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 066301) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2014-04-10 |