NPI | 1043650765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301103154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027945) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2023-04-03 |