| NPI | 1770586828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME81491) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: TN MD 35636) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-07-30 |