| NPI | 1417999293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 42855) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 029655) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-02-17 |