| NPI | 1528146982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: WA MD00018289) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00018289) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-11-29 |