| NPI | 1578672309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A88439) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00045048) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-02-10 |