NPI | 1386697589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX L5720) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L5720) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-08-15 |