| NPI | 1386618874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 20389) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 17329) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-08-11 |