| NPI | 1609890144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 52890) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: MA 52890) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |