| NPI | 1588685127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NE 22989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 22989) |
| 208000000X Pediatrics (Licence: NE 22989) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-03-17 |