| NPI | 1588899231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME117988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13802) |
| 207R00000X Internal Medicine (Licence: FL ME117988) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2014-08-29 |