NPI | 1689036105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: WI 75903) |
Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: ME MD24974) |
207RR0500X Internal Medicine Rheumatology (Licence: NJ 25MA10555700) | |
207RR0500X Internal Medicine Rheumatology (Licence: IL 036166965) | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2024-10-10 |