| NPI | 1669433009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C135254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25876) |
| 207R00000X Internal Medicine (Licence: ND 11558) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-10-12 |