| NPI | 1942275243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 24066) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 45915) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2014-10-16 |