| NPI | 1962454280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 14324) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OR MD14324) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-08-26 |