NPI | 1023073376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 201301579) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD023805E) |
207RR0500X Internal Medicine, Rheumatology (Licence: GA 058119) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2014-04-15 |