NPI | 1720075872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 64591) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 33695) |
207RR0500X Internal Medicine, Rheumatology (Licence: IA 33695) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2018-09-19 |