NPI | 1669737862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 48350) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: SD 10263) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2023-02-06 |