NPI | 1710326384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MI 4301506785) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: OK 34208) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2022-09-13 |