| NPI | 1639146855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ND 10572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22828) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OK 22828) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2012-01-30 |