| NPI | 1609889070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: OR MD19559) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: WA MD00035139) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |