| NPI | 1942362777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 35104) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO 35104) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-08-03 |