| NPI | 1417927401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX P4308) |
| Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL ME89293) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME89293) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-10-03 |