NPI | 1497174015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2021015429) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: DC MD047401) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2021-10-01 |