| NPI | 1841272804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R5A65) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO R5A65) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-10-01 |