NPI | 1386635605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35 043705) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35043705) |
Enumeration Date | 2005-11-04 |
Last Update Date | 2021-01-25 |