| NPI | 1902804925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00049196) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 22416) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2010-11-03 |