| NPI | 1902907058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: HI MD-6813) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: HI MD-6813) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-15 |