| NPI | 1578676995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC SC9033) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 9033) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-03-01 |