| NPI | 1316982218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CT 042299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 230675) |
| 207RR0500X Internal Medicine Rheumatology (Licence: PA MD431644) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-06-30 |