| NPI | 1336110576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 36091) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 44833) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-05-04 |