| NPI | 1356546063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 247357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009030609) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2014-04-10 |