NPI | 1366442998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A55793) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A55793) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2019-04-22 |