| NPI | 1497965594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AZ 46348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO MO# 2006014659) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-11-14 |