| NPI | 1821013244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420006211) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042-0006211) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-05-19 |