NPI | 1134580863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IN 02005894A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053703) |
208D00000X General Practice (Licence: TX R1977) | |
Enumeration Date | 2016-03-08 |
Last Update Date | 2023-01-09 |