| NPI | 1891744520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: PA MD023098E) |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: CA G44992) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-01-09 |