NPI | 1235584335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2021-02068) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 219244) |
207RR0500X Internal Medicine, Rheumatology (Licence: GA 10768) | |
Enumeration Date | 2016-04-27 |
Last Update Date | 2024-08-23 |