NPI | 1114926367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A73744) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A73744) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2023-01-18 |