| NPI | 1720097124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C54550) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 053538) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-10-26 |