NPI | 1083733349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD437109) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 235646) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2018-03-29 |