NPI | 1053831628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME145819) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME145819) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-07-08 |