| NPI | 1730215310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0069785) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 39390) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-08-22 |