| NPI | 1922484807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 66244) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 66244) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |