NPI | 1205876307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 305741) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: AL 13913) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2021-04-29 |