| NPI | 1548264310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2007-01616) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 25471) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-02-12 |