| NPI | 1508025933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA L-236378) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 243005) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-04-18 |