NPI | 1386889806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TN 61486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 7148443-1205) |
207R00000X Internal Medicine (Licence: TN 61486) | |
207RR0500X Internal Medicine, Rheumatology (Licence: KS 04-36463) | |
Enumeration Date | 2008-12-12 |
Last Update Date | 2022-03-28 |