| NPI | 1487653663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G19546) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: CA G19546) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2012-09-20 |