NPI | 1689114456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101266023) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX V8723) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2025-06-11 |