| NPI | 1508094707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WA MD60637695) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 35123356) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-12-01 |