| NPI | 1356305551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G40276) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G40276) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-11-19 |