NPI | 1396156626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301119411) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301119411) |
207R00000X Internal Medicine (Licence: DE C7-0005419) | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2020-02-25 |