| NPI | 1437136173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD043272L) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 75719) |
| 207R00000X Internal Medicine (Licence: MA 75719) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2012-02-03 |