NPI | 1205910882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A91956) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A91956) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |