| NPI | 1811156482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 52847) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036.117568) |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2012-08-15 |