| NPI | 1326122219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX 43310) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NC 27249) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-11-12 |