| NPI | 1417997735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101024745) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101024745) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-06-29 |