NPI | 1235101486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME78186) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L9863) |
207RR0500X Internal Medicine, Rheumatology (Licence: FL 182441) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2024-09-03 |