| NPI | 1851509939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME99059) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL TRN 9489) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2009-01-27 |