| NPI | 1649236001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G34995) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G34995) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-06-13 |