NPI | 1619350451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: DE C1-0026458) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 29504) |
207R00000X Internal Medicine (Licence: PA MT209124) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2023-10-23 |