| NPI | 1417061912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: LA MD.203142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-4396) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TN 41700) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-06-10 |