NPI | 1184875379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CO 0056418) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35099423) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2021-05-03 |