NPI | 1619976917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CT 014693) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 014693) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2011-10-17 |