NPI | 1033403084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 296105-1) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: ID M-16977) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2022-12-30 |