| NPI | 1386758035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 11107) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA 00022862) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-10 |