| NPI | 1871865840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 18570) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: MN 18570) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |