| NPI | 1912972050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: RI 8219) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI 8219) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-12-22 |