| NPI | 1508086083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ME 018180) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NC 128680) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-10-29 |