| NPI | 1790703536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI BM033580) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI BM033580) |
| 207R00000X Internal Medicine (Licence: MI BM033580) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-09 |