| NPI | 1972704427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: AZ 37145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125047338) |
| 207R00000X Internal Medicine (Licence: AZ 37145) | |
| 207R00000X Internal Medicine (Licence: KS 0435828) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-09-29 |