NPI | 1528401015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 12396151-1204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1304) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2024-10-24 |