NPI | 1457548133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA A30592) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A30592) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-09-26 |