NPI | 1285989236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 20A14736) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL AE38738983696) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2018-06-28 |