| NPI | 1861428070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 39779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 39779) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-09-12 |