| NPI | 1851388755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 213656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213656) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2014-06-30 |