| NPI | 1780028209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA G89135) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 43345) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |