| NPI | 1326056094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 41141020) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036-093988) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-10-19 |