| NPI | 1467567503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PR 13036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 13036) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-02-16 |