| NPI | 1427137967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G52871) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G52871) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2016-05-19 |