| NPI | 1508822503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301098337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-076358) |
| 207R00000X Internal Medicine (Licence: CA a70683) | |
| 207R00000X Internal Medicine (Licence: MI 4301098337) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35-076358) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA a70683) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-09-13 |