| NPI | 1417908229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C135286) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D64477) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-06-09 |