NPI | 1235206228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME116938) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D19992) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-01-28 |