NPI | 1386758035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OR 11107) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WA 00022862) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2007-07-10 |