NPI | 1114212263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MA 255544) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247985) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2017-06-08 |