| NPI | 1962470658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101040630) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101040630) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-06-05 |