| NPI | 1679579338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD05520) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: RI MD05520) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-09-07 |