| NPI | 1366442998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A55793) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A55793) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-04-22 |