NPI | 1326039363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 1766651) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD047446L) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2008-02-28 |