| NPI | 1558369686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD015858E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD015858E) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD015858E) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2014-07-02 |