NPI | 1043300510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IA 39828) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-2817) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-03-19 |