| NPI | 1366506859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A104732) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AZ 34532) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-07-18 |