NPI | 1649243254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC 30421) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35046721) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2014-09-03 |