NPI | 1043664899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 105539) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 44728) |
207R00000X Internal Medicine (Licence: IL 125.068511) | |
Enumeration Date | 2016-04-19 |
Last Update Date | 2025-10-16 |