NPI | 1639608912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MD D0093457) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070035) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-06-06 |