NPI | 1508181579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WI 62236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U8291) |
207RR0500X Internal Medicine, Rheumatology (Licence: TX U8291) | |
207RR0500X Internal Medicine, Rheumatology (Licence: FL ME154368) | |
Enumeration Date | 2010-04-02 |
Last Update Date | 2024-08-13 |