NPI | 1730165044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CA C54885) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101235252) |
207R00000X Internal Medicine (Licence: CA C54885) | |
207R00000X Internal Medicine (Licence: VA 0101235252) | |
Enumeration Date | 2005-12-19 |
Last Update Date | 2021-12-15 |