| NPI | 1629157128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 79165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79165) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-02-06 |