| NPI | 1457319741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME101990) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00035978) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-11-06 |