| NPI | 1366415036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 19589) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: AZ 19589) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-02-25 |