NPI | 1376822817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VT 042.0014165) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41800) |
207R00000X Internal Medicine (Licence: IL 125060180) | |
Enumeration Date | 2011-08-15 |
Last Update Date | 2018-09-10 |