| NPI | 1487621330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L2571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L2571) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-10-17 |