NPI | 1598072779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: CA A119662) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119662) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2015-10-28 |