NPI | 1609851732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 000029324) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 29324) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2021-04-02 |