| NPI | 1912997628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: HI md 13788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR 4634) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-08-16 |