NPI | 1548609779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2016011515) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 20160111515) |
207R00000X Internal Medicine (Licence: MO 2013019956) | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2020-07-23 |