| NPI | 1811967284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NH 13650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 21391) |
| 207RR0500X Internal Medicine Rheumatology (Licence: OK 21391) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-07-07 |