NPI | 1326569815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 92397) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272595) |
207RR0500X Internal Medicine, Rheumatology (Licence: MI 4351045838) | |
Enumeration Date | 2017-07-05 |
Last Update Date | 2022-07-13 |