NPI | 1164717740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A171534) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101252306) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2024-05-22 |