| NPI | 1659353613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 45764) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 45764) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |