| NPI | 1518902295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: HI MD2476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD2476) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-10-04 |