| NPI | 1962483149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L9876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L9876) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2015-04-01 |