| NPI | 1396060869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA a111128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111128) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2018-03-17 |