| NPI | 1851385637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 50075) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 26003) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2012-10-01 |