| NPI | 1881908895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD042512) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0081208) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2016-06-24 |