| NPI | 1881687630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD60248548) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME 007707) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301101950) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2012-11-08 |