| NPI | 1376741785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MA 243537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243537) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2013-09-05 |