| NPI | 1972745230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WA MD00048521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A94684) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A94684) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2010-11-01 |