NPI | 1538443791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX Q1069) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01070269A) |
207RR0500X Internal Medicine, Rheumatology (Licence: MO 2012014533) | |
207R00000X Internal Medicine (Licence: MO 2012014533) | |
Enumeration Date | 2011-10-06 |
Last Update Date | 2024-10-24 |