| NPI | 1922042076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A5583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A5583) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-06-15 |