NPI | 1659374882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: SC 14896) |
Additional Taxonomies | 174400000X Specialist (Licence: SC 14896) |
174400000X Specialist (Licence: NC 39768) | |
Enumeration Date | 2005-05-23 |
Last Update Date | 2013-12-17 |