| NPI | 1689661498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NH 5354) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ME 011696) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MA 60527) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-08-08 |