| NPI | 1750408381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD436639)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD436639)  | 
| 207R00000X Internal Medicine (Licence: PA MD436639)  | |
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2013-11-13 |