NPI | 1821006560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: LA MD.03932R) |
Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: TX D6214) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2007-07-13 |