| NPI | 1659370757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD32259) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101058120) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2012-03-15 |