| NPI | 1720007560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CT 027620) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: NY 168154) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |