| NPI | 1386794162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NM NM87202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM NM87202) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2009-08-27 |