NPI | 1386634178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 26602) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME51867) |
Enumeration Date | 2005-10-24 |
Last Update Date | 2018-03-14 |