| NPI | 1720174006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX D7572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX D7572) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-09-01 |