NPI | 1255402798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 14207010-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2004-0222) |
207RR0500X Internal Medicine, Rheumatology (Licence: NM MD20040222) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2025-05-07 |