| NPI | 1437310059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A12640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012678) |
| 207R00000X Internal Medicine (Licence: CA 20A12640) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-07-19 |