| NPI | 1831292242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60017159) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A81104) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-12-02 |