| NPI | 1891772422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX M9688) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: LA 15512R) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2008-08-21 |