| NPI | 1851381834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M4472) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 1654451205) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00036459) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |