| NPI | 1811975998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 12167) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A35762) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-02-14 |