| NPI | 1790980696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042.0012665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050670) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-06-17 |