| NPI | 1386697589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: TX L5720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L5720) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-08-15 |