NPI | 1538178686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA MD049288L) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 30450) |
207RR0500X Internal Medicine, Rheumatology (Licence: WV 28637) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2023-07-05 |