NPI | 1023532058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2025-01383) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME163578) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2025-10-01 |