| NPI | 1760588305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 12393) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A67374) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-07-16 |