| NPI | 1568505170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A90532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90532) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-09-23 |